Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LIFESOURCE OF NORTH CAROLINA

NPI: 1114419124 · RICHMOND, VA 23226 · Clinical Psychologist · NPI assigned 06/05/2018

$74K
Total Medicaid Paid
6,433
Total Claims
3,354
Beneficiaries
8
Codes Billed
2018-10
First Month
2023-04
Last Month

Provider Details

Authorized OfficialBADDOUR, PEGGY (PRESIDENT/OWNER)
NPI Enumeration Date06/05/2018

Related Entities

Other providers sharing the same authorized official: BADDOUR, PEGGY

ProviderCityStateTotal Paid
LIFESOURCE OF NORTH CAROLINA WILMINGTON NC $5.71M
LIFESOURCE OF NORTH CAROLINA CLINTON SC $3.07M
LIFESOURCE OF NORTH CAROLINA PIKEVILLE KY $307K
LIFESOURCE OF NORTH CAROLINA CEDAR FALLS IA $38K
LIFESOURCE OF NORTH CAROLINA MILWAUKEE WI $27K
LIFESOURCE OF NORTH CAROLINA HOLLAND OH $25K
LIFESOURCE OF NORTH CAROLINA NORTH PLATTE NE $22K
LIFESOURCE OF NORTH CAROLINA MILTON FL $17K
LIFESOURCE OF NORTH CAROLINA IRONDALE AL $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $322.28
2019 1,818 $14K
2020 2,635 $32K
2021 1,557 $22K
2022 336 $6K
2023 18 $473.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 3,075 1,321 $32K
90834 Psychotherapy, 45 minutes with patient 1,379 598 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 435 411 $6K
Q3014 Telehealth originating site facility fee 995 597 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 246 228 $5K
90791 Psychiatric diagnostic evaluation 178 143 $4K
90837 Psychotherapy, 53 minutes with patient 104 37 $3K
99205 Prolong outpt/office vis 21 19 $628.66